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대상포진후신경통 치료 중 발견된 척추압박골절 - 증례보고 -

Compression Fractures Diagnosed during the Treatment of Postherpetic Neuralgia - A case report -

  • 최용민 (서울대학교 의과대학 마취통증) ;
  • 신화용 (서울대학교 의과대학 마취통증) ;
  • 이강준 (서울대학교 의과대학 마취통증) ;
  • 구미숙 (서울대학교 의과대학 마취통증) ;
  • 남상건 (서울대학교 의과대학 마취통증) ;
  • 서정훈 (서울대학교 의과대학 마취통증) ;
  • 조지연 (서울대학교 의과대학 마취통증) ;
  • 김용철 (서울대학교 의과대학 마취통증) ;
  • 이상철 (서울대학교 의과대학 마취통증)
  • Choi, Yong Min (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Shin, Hwa Yong (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Lee, Kang Joon (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Koo, Mi Suk (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Nahm, Francis Sahn Gun (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Suh, Jeong Hun (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Jo, Ji Yon (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Kim, Yong Chul (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Lee, Sang Chul (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine)
  • 투고 : 2007.09.04
  • 심사 : 2007.11.03
  • 발행 : 2007.12.10

초록

Vertebral compression fractures can occur due to trauma, a malignancy, or most commonly, osteoporosis. These fractures are frequently seen in elderly women; 30% of postmenopausal women are affected by vertebral compression fractures. These fragile fractures frequently result in both acute and chronic pain, but more importantly, are a source of increased morbidity and possibly, mortality. These injuries can be treated both conservatively and with surgery. The use of percutaneous vertebral augmentation offers a minimally invasive approach for the treatment of vertebral compression fractures. We experienced two cases of compression fractures diagnosed during the treatment of thoracic postherpetic neuralgia. Two patients suffering from postherpetic neuralgia with a sharp and stabbing pain in the thoracic dermatomes that was unresponsive to conservative treatment were transferred to our clinic. During the management of postherpetic neuralgia, we incidentally found thoracic compression fractures after obtaining fluoroscopic guided images. After a balloon kyphoplasty, the preoperative pain related to the postherpetic neuralgia was successfully relieved soon after the procedure, and there were no complications.

키워드

참고문헌

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피인용 문헌

  1. Vertebroplasty of compression fracture with prevertebral hematoma during treatment of postherpetic neuralgia -A case report- vol.11, pp.1, 2007, https://doi.org/10.17085/apm.2016.11.1.80
  2. Postherpetic Neuralgia Aggravated by Upper Complete Denture vol.41, pp.4, 2007, https://doi.org/10.12771/emj.2018.41.4.82